Help with size of implants? 37, 5'4, 137lbs, recommended 500/550cc, behind muscle (Photos)

Question

I need some advice about a breast augmentation. I have been on a consultation and my surgeon recommended me mentor High profile implants in 500 cc or 550 cc, behind the muscle. I am 37 years Old, i am 5,4 feet and weigh 137 pounds. Have breastfeed 2 kids. Now i am afraid any of the implants she recommended will look to big on me, i am not that tall and want my breasts to look natural even if i want Them to be more fully and bigger. What size of implants do you think Will look great on me?

Randal Haworth, MD, FACS · Answer

Hello !

If you want a natural looking breast, moderate profile implants would be the best choice. They provide a natural-looking enhancement to the bosom. These implants are not too dramatic or flat and are widely preferred among our patients.

High-profile implants are recommended for women with narrow chest walls as they have narrow base diameters and offer more fullness in the upper poles, creating extra cleavage. The breasts appear rounder and fuller with high-profile implants due to their design.

With a good technique, the moderate profile implants in 500/550 cc can look really natural.

I hope this helps,
best of luck !

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Kevin Mosca, DO · Answer

When discussing the implant volume that fits you best, it is essential to base it on the geometry of your breast width. When patients come to me, I will typically measure the width of their breast in centimeters to determine the width, or diameter, of the implant that should be used to fit your body. Once we narrow that down to within 0.5-0.75 cm we look at what profile of breast the patient is interested in having to achieve a certain level of upper pole fullness. The profile choice and the diameter of the implant are what gives your surgeon and yourself a clearer picture of what volume (in ccs) will fit you best. Typically each profile up (More Cleavage/upper pole fullness) will add 45-75cc for the same diameter (width) of implant.

Sean T. Lille, MD · Answer

Dear Elinlollo,  In my practice I have Mentor sizing tools for my patients to put in a bra and get an idea of size. It gives you a very good idea of what it will look like. It's more important to me that the diameter of the breast is met with the implant vs. trying to figure anything by height and weight. I recommend having  another consultation with someone that can show you what it would look like on you.

Daniel Barrett, MD · Answer

Dear elinlollo,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Shana Kalaria, MD · Answer

500-550cc high profile implants will look too big on you. They will certainly not look natural if that is the look you are going for. I would not recommend that size, but rather in the 350-400cc range. Good luck!

Darryl J. Blinski, MD · Answer

You need to see your chosen surgeon again to clear upon the size/volume issues! I might have offered 400-450 HP implants. But this is an in person or virtual consult issue... Good Luck

Camille Cash, MD · Answer

If you are wanting a natural look the profile and volume implants you are considering may be too large.  Many surgeons have sample implants available that you can "try on" to get an idea of how you may look after surgery.  I've included a video on implant selection that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

Those 500 cc implants will be too large and heavy for your size, and thin and stretch your own tissue quite a bit. I would suggest going back to your surgeon and trying on sizes between 350-450 cc's to see what you like.  You don't want large hard balls on your chest that sag from weight over time.

Layth Gurgia, MD - Account Suspended · Answer

Dear Elin

Choosing the right breast implant size is a critical decision, and it's natural to have concerns about achieving a natural appearance while still achieving your desired fullness and size. Here are a few factors to consider:

1. **Breast Anatomy and Proportions:** Your surgeon should take into account your existing breast anatomy, chest dimensions, and overall body proportions. This will help determine what size and profile of implants would best complement your frame while achieving a natural appearance.

2. **Desired Outcome:** Communicate your desired outcome clearly with your surgeon. Show them examples of what you consider to be a "natural" look. They can provide you with information on how different implant sizes and profiles may help you achieve that goal.

3. **Implant Profile:** High-profile implants can provide more projection, which might be suitable for achieving a fuller look while maintaining a narrower base width. However, moderate or moderate plus profile implants might also be considered for a more balanced appearance.

4. **Sizers and Imaging:** During your consultation, your surgeon might use sizers or imaging technology to help you visualize how different implant sizes might look on your body. This can provide you with a better understanding of the potential outcomes.

5. **Try On Different Sizes:** Some surgeons provide patients with the opportunity to try on different implant sizers in a bra to get a sense of how different sizes will look and feel.

6. **Realistic Expectations:** Keep in mind that a natural-looking outcome may involve a compromise between size and projection. Extremely large implants might have a harder time looking natural on a smaller frame.

Remember that achieving a natural appearance often involves a combination of factors, including implant size, profile, and the skill of your surgeon. Open communication with your surgeon is key to ensuring that your goals are understood and that you make a well-informed decision about the size and type of implants that will work best for you.

Consult with your surgeon again, share your concerns, and consider seeking a second opinion if you're unsure. Ultimately, your surgeon's expertise and experience will play a crucial role in helping you achieve the results you desire.

I hope this helped 
Best regards
Dr Layth Gurgia 
Consultant plastic surgeon 
Stockholm Sweden

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